The bill, H.B. No. 3219, proposes the addition of Section 1001.090 to the Health and Safety Code, which authorizes the commissioner of state health services to issue a statewide order allowing licensed pharmacists to dispense ivermectin without a prescription from a healthcare practitioner. This order must include standardized procedures for pharmacists to follow and require them to provide patients with instructions on the proper use of ivermectin. Additionally, pharmacists acting in accordance with this order are protected from criminal or civil liability and professional disciplinary action, provided they dispense ivermectin in a reasonably prudent manner.

Furthermore, pharmacists are required to submit an annual written report detailing the number of doses of ivermectin dispensed under this order. The executive commissioner and the Texas State Board of Pharmacy are empowered to adopt necessary rules for implementation. The bill also ensures that the issuance of the statewide order cannot be used as a basis for liability against the commissioner or for disciplinary action by any licensing entity. The act is set to take effect immediately upon receiving a two-thirds vote from both houses or on September 1, 2025, if such a vote is not achieved.

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